When assessing a patient with a fracture, what is the priority nursing consideration?
Monitoring the patient's pain level
Assessing the neurovascular status of the affected limb
Evaluating the range of motion in nearby joints
Instructing the patient about cast care
The Correct Answer is B
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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Correct Answer is B
Explanation
The primary goal of fracture reduction and immobilization is to promote bone realignment and healing. By aligning the fractured bone properly and immobilizing it with casts or splints, the healing process is facilitated, and bone stability is ensured.
a. Reducing pain and discomfort is an important aspect of fracture management but is not the primary goal of fracture reduction and immobilization.
c. Restoring full range of motion is an essential goal of fracture rehabilitation, but it comes after the bone has healed and the immobilization is removed.
d. Minimizing the risk of infection is crucial, particularly in open fractures, but it is not the primary goal of fracture reduction and immobilization.
Correct Answer is B
Explanation
Compartment syndrome is a severe condition that results from increased pressure within a closed space (compartment) in the body, such as the muscle compartment near the fracture site. It can lead to decreased blood flow, nerve compression, and tissue damage.
a. Infection: Infection is a complication of fractures caused by the introduction of bacteria into the body, and it does not involve increased pressure within a closed space.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal and is not related to increased pressure within a closed space.
d. Osteomyelitis: Osteomyelitis is a bone infection that can occur as a complication of fractures and is not specifically related to increased pressure within a closed space.
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